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I have recently had reason to convert an Access MDB file to CSV for use in a mysql database. I don't like the idea of an Access database on a production server and Microsoft has been agreeing since 1999.
As it turns out it is actually very easy, there is GPL software available for the job at http://mdbtools.sourceforge.net/. If you are using Ubuntu or Debian you can use apt-get install the mdbtools package